Organization
GREAT BEGINNINGS PEDIATRIC & ADOLESCENT MEDICINE, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN ELIZABETH JOHNSON M.D. (PRESIDENT)
(337) 407-2795
Entity
Organization
Contact information
Practice address
3975 INTERSTATE 49 S SERVICE RD, STE 201, OPELOUAS, LA 70570-0775
(337) 407-2795
(337) 407-2798
Mailing address
3975 INTERSTATE 49 S SERVICE RD, STE 201, OPELOUAS, LA 70570-0775
(337) 407-2795
(337) 407-2798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13641R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449627
—
LA
Enumeration date
01/19/2007
Last updated
07/14/2014
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